Provider Demographics
NPI:1902517550
Name:GARAZHA, YANA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:GARAZHA
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:YANA
Other - Middle Name:
Other - Last Name:AZNAVOUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:835 N HUMBOLDT ST APT 402
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-1459
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:835 N HUMBOLDT ST APT 402
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-1459
Practice Address - Country:US
Practice Address - Phone:323-540-5580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ0277180641885207VG0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology